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Individual

CADE ALAN GUIDERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
1276 W RIVER ST STE 100, BOISE, ID 83702-7083
(208) 338-4699
Mailing address
1276 W RIVER ST STE 100, BOISE, ID 83702-7083
(208) 338-4699

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/16/2024
Last updated
02/16/2024
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